<?php echo $main_menu; ?>
<div id="signup-form-container">										
			<div class="span4">
				<a href="<?php echo base_url(); ?>"><img src="<?php echo base_url().'assets/img/muziklaban.png';?>" /></a>
				<p class="font-feas step-text font-yellow">REGISTER</p>
			</div>
			<div class="span5">
				<form id="signup-form" action="#" method="POST" onsubmit="return false;">
					<div class="wrap">
						<fieldset>
							<div class="span3">
								<p>
									<label for="strBandName">Band Name</label>
									<input type="text" placeholder="Band Name" id="strBandName" name="strBandName" class="required"  />
								</p>
							</div>							
							<div class="span6">
								<p>
									<label for="strLocation">Location</label>
									<select name="strLocation" id="strLocation" class="required">
										<?php foreach($locations as $item):?>
											<option value="<?php echo $item['intID'];?>"><?php echo $item['strRegionName1'].' - '.$item['strRegionName2'];?></option>
										<?php endforeach;?>
									</select>
								</p>
							</div>
							<div class="span3">
								<p>
									<label for="strEmail">Email</label>
									<input type="text" placeholder="Email Address" id="strEmail" name="strEmail" class="email required" />
								</p>								
							</div>
							<div class="span4">
							
								<p>
									<label for="strContactNumber">Contact Number</label>
									<input type="text" placeholder="Contact Number" id="strContactNumber" name="strPass" class="required" />
								</p>
							</div>
							<div class="span3">								
								<p>
									<label for="strPass">Password</label>
									<input type="password" placeholder="Password" id="strPass" name="strPass" class="required" />
								</p>
							</div>
							<div class="span4">
								<p>
									<label for="con-password">Confirm Password</label>
									<input type="password" placeholder="Confirm Password" id="con-password" name="con-password" class="required" />
								</p>					
							</div>
							<div class="span7">
								<p>
									<label for="strProfile">About</label>
									<textarea style="width:90%;height:150px;" type="password" placeholder="Maximum of 1000 letters" id="strProfile" name="strProfile" class="required" /></textarea>									
								</p>					
							</div>
							<div class="span7">
								<p class="button-set">
									<input type="submit" id="signup" class="login-button btn btn-inverse" value="Register" />
									&nbsp;Already Registered? <a class="login-link" href="<?php echo base_url() ?>login">Sign In</a>
									<span id="span-mechanics" class="right">
										Please see Mechanics <a class="login-link" href="<?php echo base_url(); ?>homepage/mechanics">here</a>
									</span>
									<div class="clear"></div>
								</p>
							</div>							
							<div class="clear"></div>	
						</fieldset>							
					</div>
					<div id="message-modal" class="modal hide fade">
						<span class="modal-error"></span>		
						<span class="modal-success"></span>	
					</div>
				</form>
			</div>
		<div class="clear"></div>
</div>
		
		
	
